Individual provider Active NPI

Alan A. Brustein, D.C.

  • Sports Physician Chiropractor
  • Boca Raton, FL
National Provider Identifier
1437190055
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CH6610 Issued in FL
Practice address
499 NE Spanish River Blvd
Boca Raton, FL 33431-4536
Phone
(561) 338-5111
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X CH6610 FL Primary

Addresses

Primary practice location

499 NE Spanish River Blvd
Boca Raton, FL 33431-4536

Mailing address

499 NE Spanish River Blvd
Boca Raton, FL 33431-4536
Phone (561) 338-5111

Other identifiers 1

IdentifierTypeStateIssuer
55363ZOtherFLMC DR.#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120904000335 FL Practitioner - Chiropractic 5698739498 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH6610FLMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Boca Back and Neck Center Inc CurrentSince Jun 21, 2001 Accepting new patients

Locations

499 NE Spanish River Blvd
Boca Raton, FL 33431
Phone (561) 338-5111

500 NE Spanish River Blvd
Ste 35
Boca Raton, FL 33431
Phone (561) 338-5111

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336348800000",
    "number": "1437190055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 NE SPANISH RIVER BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314536",
            "telephone_number": "561-338-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 NE SPANISH RIVER BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314536",
            "telephone_number": "561-338-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSTEIN",
        "first_name": "ALAN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH6610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC DR.#",
            "identifier": "55363Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.